Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $53.70 / $87.10	Facility		$23.44	$53.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $53.70	Professional		$19.50	$23.44	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $30.90	Professional		$19.95	$23.44	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $23.44	Professional		$19.05	$22.91	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $24.55	Professional		$22.91	$22.91	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $27.54	Facility		$23.44	$27.54	$27.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $208.93	Facility		$36.31	$36.31	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $41.69	Facility		$23.44	$37.15	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $25.12	Professional		$20.89	$25.12	$25.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00